Organization
F. RICARDO MORENO DDS, PC
Active
Other names
F. Ricardo Moreno DDS, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. F. RICARDO MORENO D.D.S. (OWNER PRESIDENT)
(512) 442-1224
Entity
Organization
Contact information
Practice address
2410 E RIVERSIDE DR, STE. H12, AUSTIN, TX 78741-3083
(512) 442-1224
(512) 442-8588
Mailing address
2410 E RIVERSIDE DR, STE. H12, AUSTIN, TX 78741-3083
(512) 442-1224
(512) 442-8588
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18322
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090753702
—
TX
Enumeration date
04/25/2007
Last updated
10/27/2008
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